HomeMy WebLinkAboutDrain Layers Permit 725 Foster Street .no TOWN OF SOUTH ,WI N DSOR
DEPARTMENT OF POLLUTION CONTROL 2—
South Windsor, Connecticut B/P No.:-S Gv Ct p,
List.No.:
DRAIN LAYER'S PERMIT
N° 558
-I Max In 19 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 225 Faster St. on the
-- a vtb _side, between Reelmebub I M i tseox Rc3
at premises owned by- Ci 1 a"+ Co:be
whose address is same
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for Pesideatial
occupancy or use,
with eae Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES ( ), OR
Connection will be made with BiX(6) 11m��atir_jaipe
Permit to be issued to -r- R_ KuczA
the holder of Drain Layer's License No. W9=201114 Permit will expire on- JUI 10 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sidd-
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS xoite
Signed-
Connection Charge Paid 5ZV2A Licensed Drain Layer
Per-- -- - Issued by Balmh A. Sitarkwe tkiar Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL �r � 191-7 S�i�7y ��.� (Sig)
FINAL " v ,� _ �Clg (Sig)
APPROVED ` " c (Date)
g (Sig)
INSPECTOR
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_NOTES _ SOUTH WINDSOR POLLUTION CONTROL
LOCATION 7 �s— Iasi�� c—
OWNER
TYPE OF WORK
DATE J; 1,,_ PERMIT j—s''S- PIPE d�
INSTALLER �c zfI
INSPECTOR f DRAWN BY G��
a
To help locate your sewer connection on-the main line, please show
where you would like the connection by drawing a line From the house or
the septic tank to the main line in the street. Also, install stake in yard
to indicate line as shown on sketch. IF.you have any doubt please _contact
the Town.Engineering- Department.
Please draw important information such as driveways, large trees
and other, obstructions.
PLEASE MAIL THIS FORM
M IMMEDIATELY
TO:
JAMES S. MINGES & ASSOC. , INC,
The Exchange,
Farmington Avenue
Farmington, Connecticut 06032
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